Focuses on the immunization status of children aged 19 to 35 months. Recommended immunizations are described and contrasted with the actual status of immunization. In response to unacceptably low levels of immunization among very young children, the government is aiming at 90% immunization by the year 2000. (SLD)

Discusses the development and initial implementation of the "Every Child by Two" project. The project is designed to immunize as many newborn through two-year-old children in the United States as possible against communicable childhood diseases, such as measles, and to create a program to systematically immunize this age group in the…

Ideas for integrating preventive medicine into the undergraduate medical curriculum include options for curricula in quantitative skills, clinical preventive medicine, primary care rotation, community health services, and independent continuing education. Recommendations are based on a guide assessing the effectiveness of 169 types of preventive…

Research has not yet identified the best combination of estrogen replacement, calcium, and exercise for fighting osteoporosis, but clinical experience indicates all are needed to prevent the rapid bone loss that occurs in postmenopausal women. Physicians must encourage women to reduce their risk using all available options. (SM)

Evaluation of the University of South Florida Medical School's new (1990) preventive health requirements for matriculants showed that expensive requirements had the lowest rate of compliance and inexpensive ones, the highest rates. Enforcement measures significantly improved compliance. Cost was seen as a major deterrent to compliance. (Author/DB)

Biomedical, logistic, economic, social, and psychosocial issues related to the successful distribution and use of a vaccine for human immunodeficiency virus (HIV) are reviewed. A mathematical model is introduced as an aid in conceptualizing these issues. The HIV vaccine should be seen as an adjunct to behavioral modification. (SLD)

Recently states have increasingly turned to managed care arrangements to finance and deliver health services to Medicaid beneficiaries. As this trend continues, states should carefully monitor changes in program costs and quality and implications for delivery of pediatric services and health outcomes for children. (SLD)

Injuries are predictable and preventable. Prevention may be applied at bedside or in the community. Greater emphasis on injury control would radically alter the health care provider's role, and shift the direction of communication from the physician to the community and to the individual patient. Success with prevention strategies requires new…

Family Resource Centers/Youth Services Centers were mandated within Kentucky's Education Reform Act to help the state's disadvantaged children and families. The school-based centers provide services to maintain basic necessities and enhance children's health and learning. The article describes how centers are developed, funded, staffed, governed,…

A survey of 797 preventive medicine residency graduates found that improvements are needed in the curricula for health administration, environmental health, health education, and occupational medicine. Women found their training less adequate than men did in all areas except clinical preventive medicine. Graduates tended to practice ultimately in…

This publication is a compilation of papers presented at an April 1994 workshop sponsored by the National Center for Education in Maternal and Child Health and the Bureau-funded Johns Hopkins Child and Adolescent Health Policy Center (CAHPC). The papers are as follows: (1) "Defining the Issues and Planning for Change: Health Care Systems,…

This proceedings document contains papers addressing trends, determinants, and interventions in preventing low birthweight. Papers have the following titles and authors: "Trends in Rates of Low Birthweight in the United States" (Mary McCormick); "Evolution of the Preterm Birth Rate in France" (Gerard Breart); "The Etiology…

Nutrition is well-recognized as a necessary component of educational programs for physicians. This is to be valued in that of all factors affecting health in the United States, none is more important than nutrition. This can be argued from various perspectives, including health promotion, disease prevention, and therapeutic management. In all…

Nutrition is well-recognized as a necessary component of educational programs for physicians. This is to be valued in that of all factors affecting health in the United States, none is more important than nutrition. This can be argued from various perspectives, including health promotion, disease prevention, and therapeutic management. In all…

Nutrition is well-recognized as a necessary component of educational programs for physicians. This is to be valued in that of all factors affecting health in the United States, none is more important than nutrition. This can be argued from various perspectives, including health promotion, disease prevention, and therapeutic management. In all…